MEDICARE: MR. KURT C KLEIN P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT3964	FL

General Provider Information

NPI Number	:	1003996497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KURT C KLEIN P.T.

Provider Business Mailing Address
First Line	:	2655 E OAKLAND PARK BLVD
Second Line	:	SUITE3
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33306-1608
Country	:	US
Telephone Number	:	954-472-7526
Fax Number	:	954-472-5605

Provider Business Practice Location Address
First Line	:	2655 E OAKLAND PARK BLVD STE 3
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33306-1608
Country	:	US
Telephone Number	:	954-472-7526
Fax Number	:	954-472-5605

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	04/27/2018

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